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HCBS State & Federal Requirements

Please find state and federal regulatory information for providers and program participants of Home and Community-Based Services (HCBS)

State Statutes

Chapter 192 Department of Health and Senior Services

  • 192.2000 DSDS Duties
  • 192.2005 Definitions
  • 192.2400-192.2505 Protective Services for Adults: Reporting, Investigations, Employee Disqualification, Criminal Background Check

Chapter 208 Old Age Assistance, Aid to Dependent Children and General Relief

  • 208.865 Definitions – Personal Care Attendant and Vendor
  • 208.895 - 208.896 HCBS Referrals – Department Duties, Assessments, Care Plans, Structured Family Caregiving Waiver
  • 208.900 – 208.930 Personal Care Assistance Services – Eligibility, Consumer and Vendor Responsibilities/Requirements, Electronic Visit Verification (EVV), Denial of Services, Discontinuation of Services

Chapter 660 Department of Social Services

  • 660.023 In-Home Service Providers, Telephone Tracking System

State Regulations

TITLE 19 - Department of Health and Senior Services
Division 15 Division of Senior and Disability Services
Chapter 7 In Home Services Standards  

  • 19 CSR 15-7.021 In-Home Standards

Chapter 8 Consumer-Directed Services 

  • 19 CSR 15-8.00 Definitions
  • 19 CSR 15-8.200 Eligibility
  • 19 CSR 15-8.400 Vendors
  • 19 CSR 15-8.500 Hearing Rights

Division 30 - Division of Regulation and Licensure
Chapter 81 Certification

  • 19 CSR 30-81.030 Evaluation and Assessment Measures for Title XIX Recipients and Applicants in Long-Term Care Facilities

TITLE 13 – Department of Social Services
Division 70 MO HealthNet Division
Chapter 91 - Personal Care Program

  • 13 CSR 70-3.320 Electronic Visit Verification (EVV)
  • 13 CSR 70-91.010 Personal Care Program

Federal Regulations

Title 42 of the U.S. Code and the Code of Federal Regulations include rules for Home and Community‑Based Services (HCBS). These regulations govern how 1915(c) waivers are run.

TITLE 42 - Home and Community Based Service Program